Observational studyPublic health nursing (Boston, Mass.)2020
Impact of an incentive-based prenatal smoking cessation program for low-income women in Colorado.
Observational study in Public health nursing (Boston, Mass.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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The trial behind it
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Who cites it
4 citing papers in PubMed.
- Real-world effectiveness of a community-based multicomponent maternal smoking cessation program in preventing low birthweight deliveries: Findings from the CTTP cohort.Tobacco induced diseases · 2025Article
- Health economic evaluations of programs reducing preterm birth: A scoping review.International journal of nursing studies advances · 2024Article
- Effectiveness of smoking cessation interventions in pregnant women attending primary care: a scoping review.BJGP open · 2024Article
- Smoking and Smoking Cessation in the Risk for Fetal Growth Restriction and Low Birth Weight and Additive Effect of Maternal Obesity.Journal of clinical medicine · 2020Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectiveTo assess birth outcomes and cost-savings of an incentive-based prenatal smoking cessation program targeting low-income women in Colorado.
designProspective observational cohort with nonequivalent population control groups. SAMPLE: Program participants (n = 2,231) linked to the birth certificate to ascertain birth outcomes compared to two reference populations from Pregnancy Risk Assessment Monitoring System (PRAMS) and Colorado live births based on the birth certificate. MEASUREMENTS: Tobacco cessation metrics in the third trimester of pregnancy, neonatal low birth weight (<2,500 g), preterm birth (birth at <37 weeks gestation), neonatal intensive care unit (NICU) admission and maternal gestational hypertension. Cost-savings and return on investment (ROI) were projected using average Medicaid reimbursement.
resultsInfants of mothers enrolled in the program had a lower risk of low birthweight (RR = 0.86; 95% CI = 0.75, 0.97), preterm birth (PTB) (RR = 0.76; 95% CI = 0.65, 0.88) and neonatal intensive care unit (NICU) admission (RR = 0.76; 95% CI = 0.66, 0.88) compared to the birth certificate population, corresponding to a ROI of $7.73 and an individual cost savings of $6,040. Compared to PRAMS, infants of enrolled mothers had a lower risk of PTB (RR = 0.72; 95% CI = 0.53, 0.99) and NICU admission (RR = 0.45; 95% CI = 0.32, 0.62), corresponding to an ROI of $2.79 and an individual cost savings of $2,182.
conclusionsWe found a reduction of adverse birth outcomes, and cost savings.
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